Individual
DR. BEN LEE CLARK SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DCSW-LCSW
Contact information
Practice address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 433-2780
(808) 433-1557
Mailing address
95-1031 KANAE ST, MILILANI, HI 96789-4205
(808) 433-2780
(808) 433-1557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3192
HI
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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